This application for credit may be submitted by the Dealer to various financial institutions.
Before this application is submitted, upon request, the Dealer will disclose to you the name and address of the institution(s) who will receive copies of this application.
By clicking on the 'submit' button above I certify that the above entered information to be true and correct and I hereby authorize you to use this information to perform a credit rating check of my personal credit.
I also certify that I am over the age of 18 and am a current U.S. citizen or permanent resident.
In addition, I understand that submitting the above information does not represent an obligation by any party to provide credit nor does it obligate me to accept any credit offered.
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Keith's Auto Sales
Keith's Auto Sales West 800 West Market St Harrisonburg, VA22801 (540) 434-2817 (877) 434-2817 (540) 574-4203